NPIMap

Organization Active NPI

Ridge Chemists, LLC

  • Compounding Pharmacy
  • Brooklyn, NY
National Provider Identifier
1205284817
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
034650 Issued in NY
Legal business name
RIDGE CHEMISTS, LLC
Practice address
122 Bay Ridge Ave
Brooklyn, NY 11220-5052
Phone
(718) 333-5979
Fax
(718) 333-5983
NPI assigned
May 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mariano Pineda
Title
Owner
Phone
(917) 407-7993

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 034650 NY
Compounding Pharmacy 3336C0004X 034650 NY Primary

Addresses

Primary practice location

122 Bay Ridge Ave
Brooklyn, NY 11220-5052

Mailing address

122 Bay Ridge Ave
Brooklyn, NY 11220-5052
Phone (718) 333-5979

Other identifiers 2

IdentifierTypeStateIssuer
04527175MedicaidNY
2159413OtherPK

National Provider Directory

National Provider Directory
Tax ID family
Ridge Chemists LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1205284817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BAY RIDGE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205052",
            "telephone_number": "718-333-5979",
            "fax_number": "718-333-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BAY RIDGE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205052",
            "telephone_number": "718-333-5979",
            "fax_number": "718-333-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE CHEMISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "PINEDA",
        "authorized_official_first_name": "MARIANO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-407-7993"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034650",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NY",
            "license": "034650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04527175",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159413",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.